NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

43242 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43242 — Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Billing groups
293
Named-group FFS services
15,957
FFS of Medicare
49%
Services YoY
+5.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~32,263 services

15,957 observed fee-for-service (49%) · ~16,306 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 43242 (CY2024)
CA 2,776 FL 2,018 TX 1,217 MA 1,082 PA 1,053

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$20.3M
Named-group allowed amount
$3.8M
Named-group Medicare payments
$2.9M
Avg charge / svc
$1,273
Avg allowed / svc
$236
Avg payment / svc
$184
Average charge per group
$351 293 groups · avg submitted charge / service $5,000
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43242 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 504 $948,885 $1,883 18.2% (415) 600-1020
2 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 482 $535,020 $1,110 39.6% —
3 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 330 $291,390 $883 16.4% (904) 398-7205
4 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 269 $347,799 $1,293 9.7% (310) 423-3277
5 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 220 $263,488 $1,198 31.4% (410) 502-4340
6 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 210 $260,190 $1,239 19.4% (781) 983-9088
7 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 197 $156,418 $794 9.8% (407) 896-1100
8 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 187 $199,828 $1,069 17.3% (561) 955-7100
9 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 183 $423,645 $2,315 6.6% (310) 825-7922
10 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 179 $142,305 $795 8.9% (407) 200-2700
11 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 177 $207,798 $1,174 31.3% (612) 871-1145
12 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 175 $269,628 $1,541 19.7% —
13 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 173 $300,328 $1,736 6.2% (916) 681-8852
14 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 172 $288,788 $1,679 6.2% (714) 456-7002
15 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 164 $262,714 $1,602 20.9% (314) 747-3000
16 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 159 $113,241 $712 85.0% (202) 429-2401
17 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 140 $103,476 $739 41.7% —
18 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 137 $272,630 $1,990 13.7% —
19 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 126 $300,490 $2,385 62.4% (319) 678-8201
20 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 124 $132,804 $1,071 13.9% (312) 563-2875
21 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 124 $103,788 $837 6.1% —
22 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 121 $280,115 $2,315 63.0% (203) 688-4242
23 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 121 $98,296 $812 19.2% (843) 777-2000
24 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 121 $135,883 $1,123 4.4% (925) 296-9720
25 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 118 $174,286 $1,477 10.9% (617) 732-5500
26 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 112 $259,732 $2,319 63.3% (501) 202-2093
27 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 112 $141,828 $1,266 24.3% (812) 450-6700
28 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 112 $99,456 $888 9.2% (903) 606-5560
29 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 111 $75,326 $679 4.0% (714) 871-3006
30 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 111 $96,788 $872 16.4% (313) 916-2600
31 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 109 $130,822 $1,200 48.9% (402) 559-4000
32 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 109 $132,320 $1,214 10.9% (212) 241-4812
33 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 106 $79,730 $752 46.3% (702) 633-0207
34 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 106 $157,198 $1,483 22.1% (908) 273-4300
35 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 105 $93,500 $890 22.0% —
36 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 104 $91,592 $881 5.2% (305) 913-0666
37 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 102 $300,900 $2,950 10.2% (212) 746-5454
38 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 100 $143,000 $1,430 9.5% —
39 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 100 $163,277 $1,633 15.9% (843) 792-1414
40 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 98 $67,711 $691 8.1% (214) 599-8624
41 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 98 $150,720 $1,538 3.5% (800) 926-8273
42 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 96 $189,000 $1,969 17.0% (507) 284-2511
43 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 93 $130,200 $1,400 26.5% (337) 232-6697
44 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 92 $68,875 $749 8.7% —
45 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS PA PHYSICIAN ASSISTANT 206 92 $80,040 $870 8.7% (970) 384-7290
46 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 91 $76,916 $845 3.3% (805) 681-7500
47 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 91 $72,163 $793 21.6% —
48 RICHMOND GASTROENTEROLOGY ASSOCIATES, INC. NORTH CHESTERFIELD VA GASTROENTEROLOGY 37 88 $90,422 $1,028 18.4% (804) 330-4021
49 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 86 $106,038 $1,233 17.9% —
50 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 85 $111,406 $1,311 9.6% (847) 459-1160
51 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 84 $152,292 $1,813 3.0% (877) 827-7463
52 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 82 $111,104 $1,355 16.1% (901) 755-9110
53 KANSAS GASTROENTEROLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 20 81 $84,726 $1,046 33.5% (316) 928-8930
54 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 81 $60,476 $747 9.6% (910) 296-0941
55 GUT PC DOTHAN AL GASTROENTEROLOGY 52 78 $81,900 $1,050 27.3% (334) 836-1212
56 GASTROINTESTINAL ASSOCIATES PC KNOXVILLE TN GASTROENTEROLOGY 32 76 $142,728 $1,878 14.9% (865) 558-0606
57 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 76 $64,296 $846 9.7% —
58 COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC NASHVILLE TN INTERNAL MEDICINE 56 75 $84,150 $1,122 14.7% (615) 342-5900
59 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 75 $60,895 $812 6.9% —
60 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 74 $72,223 $976 2.7% (858) 455-9100
61 GASTROENTEROLOGY SPECIALTIES PC LINCOLN NE GASTROENTEROLOGY 51 74 $78,662 $1,063 33.2% (402) 465-4545
62 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 73 $85,095 $1,166 2.6% (310) 534-8400
63 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 72 $216,720 $3,010 23.3% (414) 421-8400
64 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 69 $83,766 $1,214 7.8% (630) 469-9200
65 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 69 $73,743 $1,069 3.4% (561) 955-7100
66 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 68 $100,668 $1,480 8.7% (309) 683-5050
67 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 67 $64,521 $963 6.4% (717) 531-5638
68 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 66 $40,235 $610 2.4% (805) 349-8514
69 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 65 $52,065 $801 36.7% (501) 562-4838
70 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLE SC GASTROENTEROLOGY 58 65 $91,000 $1,400 10.3% (864) 232-7338
71 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 65 $56,579 $870 5.3% —
72 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 64 $75,670 $1,182 6.1% —
73 WILMINGTON GASTROENTEROLOGY ASSOCIATES, PA WILMINGTON NC PHYSICIAN ASSISTANT 21 64 $70,400 $1,100 7.6% (910) 362-1011
74 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 63 $191,887 $3,046 20.4% (414) 352-3100
75 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 63 $57,834 $918 2.3% —
76 LI GASTROENTEROLOGY ENDOSCOPY PC GREENVALE NY ANESTHESIOLOGY 6 63 $265,329 $4,212 6.3% (516) 636-5010
77 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 62 $70,742 $1,141 9.1% (616) 885-5000
78 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 61 $66,976 $1,098 5.8% (484) 526-2400
79 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 61 $71,298 $1,169 9.5% (614) 293-8000
80 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 59 $207,444 $3,516 19.1% (414) 955-4263
81 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 59 $44,078 $747 2.9% (813) 615-7075
82 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 58 $31,204 $538 2.9% (941) 794-1980
83 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 58 $112,752 $1,944 9.2% (803) 794-4585
84 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS PA PHYSICIAN ASSISTANT 793 57 $44,574 $782 5.4% —
85 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 57 $119,244 $2,092 6.4% —
86 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 57 $63,800 $1,119 8.4% (949) 791-3370
87 ERLANGER HEALTH CHATTANOOGA LA NURSE PRACTITIONER 487 57 $34,371 $603 16.2% —
88 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 56 $38,920 $695 5.3% (717) 869-4600
89 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY WA PHYSICIAN ASSISTANT 354 55 $64,240 $1,168 13.1% (623) 832-4000
90 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 55 $40,700 $740 10.8% (865) 305-6333
91 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 55 $66,550 $1,210 9.7% (651) 221-3456
92 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 54 $111,348 $2,062 21.6% (720) 777-1234
93 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 53 $29,592 $558 8.3% (419) 383-5550
94 GI MEDICAL ASSOC PC SAINT CLAIR SHORES MI GASTROENTEROLOGY 11 53 $28,100 $530 7.8% (586) 447-0700
95 CHARLESTON GASTROENTEROLOGY SPECIALISTS CHARLESTON SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 52 $62,400 $1,200 8.3% (843) 722-8000
96 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 51 $47,175 $925 20.4% (303) 604-5000
97 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 51 $77,979 $1,529 7.5% (734) 763-5459
98 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 50 $29,500 $590 36.0% —
99 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 50 $45,000 $900 10.5% (202) 296-3449
100 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 49 $76,342 $1,558 1.8% (916) 983-7476

Showing the top 100 of 293 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →